Blog Layout

What is Dysbiosis?

Dariella Gonitzke, MS, RD, FMN • Oct 12, 2023

Unexpected digestive health changes may actually be gut dysbiosis symptoms. Discover the common signs and management options, including dysbiosis foods to avoid. 

It’s hard to imagine, but there are trillions of microbes living (mostly) harmoniously throughout your digestive tract. This is an impressive ecosystem known as your gut microbiome. 

The health and balance of your microbiome have a major influence on the rest of your body — including your risk of certain diseases. Your gut bacteria are heavily involved in making sure things like your digestion, immunity, skin, and even brain are functioning how they’re supposed to. 

When the balance of your microbiome is disturbed, it’s called dysbiosis. This can set off a domino effect of health consequences. In order to restore balance, it’s helpful to understand how to recognize possible gut dysbiosis symptoms. 

Understanding Dysbiosis

The word dysbiosis can be broken down into “dys-” which means abnormal or imperfect and “biosis” which refers to the balance of microorganisms. It’s generally defined as one of the following: 

1. Loss of healthy microorganisms 
2. Excessive growth of potentially harmful microorganisms, or
3. Disruption in the overall variety of microbes

In other words, dysbiosis occurs when the types and amounts of certain bacteria in your digestive system fall out of balance. 

When this happens, some people might notice mild, temporary symptoms that correct on their own. Others might experience more concerning symptoms. In this case, a call to your healthcare provider is a good idea.

So, why is it so important for the gut microbiome to be in balance anyway? Well, not all of the bacteria in your gut are “good” or “bad” — it’s actually a mix of both at any given time. 

When the balance is off and there are too many of the “bad” bacteria, this can promote illness and infection. Having enough of the “good” bacteria is essential for your body’s optimal health and function.

Of course, even the best-laid plans can go awry. We live in a world of many interferences which can make it hard to maintain a healthy gut microbiome. 

Some examples include: 
• Unmanaged stress or anxiety
• Unprotected sex
• Antibiotic use, especially as a child
• Use of proton pump inhibitors and antipsychotic medications
• Excessive alcohol consumption
• Poor dental hygiene
• Making major changes in your diet
• Exposure to xenoestrogens 

Don’t take this as a reason to feel guilty or ashamed. Dysbiosis can happen to anyone. It’s good to be aware of how the activities or habits above can put you at a higher risk over time. 

Common Dysbiosis Symptoms

You may experience different symptoms of dysbiosis than someone else. Still, there are some key symptoms that may mean your gut is trying to tell you something. I’ve outlined them below by the areas that can be impacted. 

Gastrointestinal Symptoms

Maybe the most obvious place dysbiosis symptoms might appear is in your gut. Some people experience changes in their bathroom habits, like chronic diarrhea or constipation. Bloating, having more gas, nausea, bad breath, and abdominal pain or cramping may also be symptoms. 

Skin Issues

When your gut bacteria are out of balance, it might show up as changes in your skin. Some potential dysbiosis symptoms can include eczema and psoriasis, acne, or other types of skin rashes that you’ve not previously had.

Mood and Mental Health Symptoms

Experience mental health changes? Your gut bacteria might be off balance. Brain fog, forgetfulness, and feelings of anxiousness or low mood may be a sign of dysbiosis. 

Immune System Dysfunction

If you’re experiencing an uptick in how frequently and/or how severely you’re getting sick, this may suggest a sign of dysbiosis. Additionally, there’s some evidence that autoimmune diagnoses, like irritable bowel disease (IBD) or colitis, have a microbiome-related piece. 

Fatigue and Energy Imbalances

We all feel tired. But if you’re feeling it more than usual, it might be a sign from your gut. For some people, dysbiosis can show up as sleep disturbances that can’t otherwise be explained. 

Keep in mind that these symptoms are pretty generic and could be related to a number of conditions. If you’re experiencing anything new and concerning with your health, especially if it’s ongoing, it’s always best to speak with your healthcare provider.

How Do You Diagnose Dysbiosis?

Dysbiosis can only be officially diagnosed with the help of a healthcare professional who is well-versed in gastrointestinal health. 

They will probably order one or more of the following tests: 

Organic acids test: This test involves a urine sample which is tested for abnormal levels of acids that are produced by gut bacteria, which may indicate an imbalance.

Hydrogen breath test: Often used to diagnose a condition called small intestinal bacterial overgrowth (SIBO), this is a test of what gases are expelled in your breath after you drink a sugar solution. 

Comprehensive digestive stool analysis: For this test, you’ll collect a stool sample that is examined for what bacteria, yeasts, or fungi are present that may indicate a microbial imbalance. At Eat Freely Nutrition, we use a stool test called GI Map

Treating Dysbiosis

There’s no quick fix for getting your microbiome back into optimal balance, but don’t worry! Your every day habits can do wonders for your gut health over time.

Dietary Changes

Your overall diet pattern plays a major role in your gut and overall health. In general, dysbiosis foods to avoid include those that are high in saturated fat and added sugar, as well as ultra-processed foods (think snacks that come in crinkly bags and sweetened sodas).

On the other hand, eating more fruits, vegetables, whole grains, legumes, nuts, seeds, and lean proteins like fish are excellent choices for digestive health.

To get a better understanding of how your diet is influencing your gut — and how to improve it — work with a registered dietitian who specializes in functional gut health. They can help identify foods that are triggering symptoms and design an appropriate plan to get your balance back. You can schedule a free 20-minute phone consult to learn more about how we can help.

Probiotics and Prebiotics

Probiotics are good bacteria, and prebiotics are food for these bacteria. Both are important for supporting digestive health and helping your microbiome stay in balance. They can be found in foods as well as supplements. 

For example, natural sources of probiotics include fermented foods like tempeh, miso, kefir, and sauerkraut. Prebiotics are found in foods like chicory root, Jerusalem artichoke, garlic, and onions.  

Your dietitian can help you determine whether a supplement could also be helpful and what strains make the most sense for your needs. Our most common recommended probiotic is MegaSporeBiotic which can be found on our online store. Learn more about our online supplement store here

Medications or Medical Interventions

Commonly prescribed antibiotics include ciprofloxacin, rifaximin, or co-trimoxazole. Each has a different indication depending on what your symptoms are, such as if you’re diagnosed with irritable bowel syndrome or a gut or urinary tract infection resulting from dysbiosis.

Once you have dysbiosis under control, continue to practice healthy habits to help prevent it from recurring. Don’t overcomplicate it — this includes many of the same things you’ve been doing to treat the problem.

Dysbiosis Recap

Dysbiosis is a common condition that may be associated with a number of health conditions. Gut dysbiosis symptoms can affect your skin, mood, immunity, digestion, and more. Recognizing potential symptoms early and getting the appropriate treatment is key. At home, you can start by examining the quality of your diet and what types of triggers may be present in your lifestyle (none of us are perfect!).

Seek medical guidance from your healthcare provider or dietitian if you’re experiencing any new health symptoms. Healthy everyday habits can support a more balanced gut microbiome and improve overall well-being. 

References

1. de Vos WM, Tilg H, Van Hul M, Cani PD. Gut microbiome and health: mechanistic insights. Gut. 2022;71(5):1020-1032. doi:10.1136/gutjnl-2021-326789
2. DeGruttola AK, Low D, Mizoguchi A, Mizoguchi E. Current Understanding of Dysbiosis in Disease in Human and Animal Models. Inflamm Bowel Dis. 2016;22(5):1137-1150. doi:10.1097/MIB.0000000000000750
3. Hrncir T. Gut Microbiota Dysbiosis: Triggers, Consequences, Diagnostic and Therapeutic Options. Microorganisms. 2022;10(3):578. Published 2022 Mar 7. doi:10.3390/microorganisms10030578
4. Carda-Diéguez M, Cárdenas N, Aparicio M, Beltrán D, Rodríguez JM, Mira A. Variations in Vaginal, Penile, and Oral Microbiota After Sexual Intercourse: A Case Report [published correction appears in Front Med (Lausanne). 2020 Jan 09;6:294]. Front Med (Lausanne). 2019;6:178. Published 2019 Aug 7. doi:10.3389/fmed.2019.00178
5. Kesavelu D, Jog P. Current understanding of antibiotic-associated dysbiosis and approaches for its management. Ther Adv Infect Dis. 2023;10:20499361231154443. Published 2023 Feb 24. doi:10.1177/20499361231154443
6. Le Bastard Q, Al-Ghalith GA, Grégoire M, et al. Systematic review: human gut dysbiosis induced by non-antibiotic prescription medications. Aliment Pharmacol Ther. 2018;47(3):332-345. doi:10.1111/apt.14451
7. Liu X, Vigorito M, Huang W, Khan MAS, Chang SL. The Impact of Alcohol-Induced Dysbiosis on Diseases and Disorders of the Central Nervous System. J Neuroimmune Pharmacol. 2022;17(1-2):131-151. doi:10.1007/s11481-021-10033-4
8. Scannapieco FA, Dongari-Bagtzoglou A. Dysbiosis revisited: Understanding the role of the oral microbiome in the pathogenesis of gingivitis and periodontitis: A critical assessment. J Periodontol. 2021;92(8):1071-1078. doi:10.1002/JPER.21-0120
9. Rosenfeld CS. Xenoestrogen Effects on the Gut Microbiome. Curr Opin Endocr Metab Res. 2021;19:41-45. doi:10.1016/j.coemr.2021.05.006
10. Wei L, Singh R, Ro S, Ghoshal UC. Gut microbiota dysbiosis in functional gastrointestinal disorders: Underpinning the symptoms and pathophysiology. JGH Open. 2021;5(9):976-987. Published 2021 Mar 23. doi:10.1002/jgh3.12528
11. De Pessemier B, Grine L, Debaere M, Maes A, Paetzold B, Callewaert C. Gut-Skin Axis: Current Knowledge of the Interrelationship between Microbial Dysbiosis and Skin Conditions. Microorganisms. 2021;9(2):353. Published 2021 Feb 11. doi:10.3390/microorganisms9020353
12. Levy M, Kolodziejczyk AA, Thaiss CA, Elinav E. Dysbiosis and the immune system. Nat Rev Immunol. 2017;17(4):219-232. doi:10.1038/nri.2017.7
13. Mousa WK, Chehadeh F, Husband S. Microbial dysbiosis in the gut drives systemic autoimmune diseases. Front Immunol. 2022;13:906258. Published 2022 Oct 20. doi:10.3389/fimmu.2022.906258
14. Neroni B, Evangelisti M, Radocchia G, et al. Relationship between sleep disorders and gut dysbiosis: what affects what?. Sleep Med. 2021;87:1-7. doi:10.1016/j.sleep.2021.08.003
15. Wei S, Bahl MI, Baunwall SMD, Hvas CL, Licht TR. Determining Gut Microbial Dysbiosis: a Review of Applied Indexes for Assessment of Intestinal Microbiota Imbalances. Appl Environ Microbiol. 2021;87(11):e00395-21. Published 2021 May 11. doi:10.1128/AEM.00395-21
16. Tomasello G, Mazzola M, Leone A, et al. Nutrition, oxidative stress and intestinal dysbiosis: Influence of diet on gut microbiota in inflammatory bowel diseases. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2016;160(4):461-466. doi:10.5507/bp.2016.052
17. Scarpellini E, Basilico M, Rinninella E, et al. Probiotics and gut health. Minerva Gastroenterol (Torino). 2021;67(4):314-325. doi:10.23736/S2724-5985.21.02910-7
18. Leeuwendaal NK, Stanton C, O'Toole PW, Beresford TP. Fermented Foods, Health and the Gut Microbiome. Nutrients. 2022;14(7):1527. Published 2022 Apr 6. doi:10.3390/nu14071527 
By Dariella Gonitzke, MS, RD, FMN 14 Feb, 2024
Can eating certain foods really improve your hormones? Yes! There are foods that provide our body with the nutrient necessary to make healthy hormone levels. There are also foods that support the liver and the proper metabolism of our hormones, which helps to prevent accumulation of certain hormones. Incorporating these hormones supportive foods in your diet can help keep your hormones in balance and prevent/reduce period problems. Although there is limited research on nutrition and hormones, this doesn’t mean these holistic health practices have no benefits. It just means that these benefits haven’t been studied and proven effective. Scientific research is expensive and time-consuming. These two factors make it easy for pharmaceutical companies or hospitals to get funding to research a new drug or treatment protocol. But this also makes it fairly prohibitive for studies on food or other alternative medical treatments to occur. There just aren’t many people who will provide funding to study whether or not seed cycling can help support women’s menstrual cycles. It’s well known that there is a massive gender bias in clinical research and it’s only been about 20-30 years since women were even required to be included in clinical trials. Studying the menstrual cycle and the factors that influence it just isn’t a high priority on the list of medical research topics. Because of this, we frequently have to rely on anecdotal evidence, along with our own best judgment, to determine if these holistic practices have any benefit. With all that said, let’s move on to my favorite go-to hormone balancing foods! Let’s go! Favorite #1: Seeds
By Dariella Gonitzke, MS, RD, FMN 12 Feb, 2024
“I’ve been dealing with this annoying migraine all day and it won’t go away! Nothings helping!” If you have found yourself saying the same thing, you're not alone. Migraines affect millions of people worldwide, impacting their ability to work, socialize, and enjoy daily activities. But what you might not know is how to manage your migraines or prevent them. I struggled with migraines for years and have found several solutions that have helped. So here’s my go-to strategies that can help you effectively manage and reduce the frequency of your migraines (and don’t worry, it’s not just saying drink a glass of water when you are already feeling it.) The Importance of Hydration and Magnesium Glycinate So no, I’m not telling you to drink water when it’s already too late, BUT it’s still very important to STAY hydrated! Key word there, but let's discuss the critical role of hydration and magnesium glycinate in migraine management. Hydration is key for maintaining overall health, and it plays a significant role in migraine prevention. Dehydration can trigger migraines or worsen their severity. By ensuring you stay adequately hydrated throughout the day, you can reduce the likelihood of migraine attacks. Additionally, magnesium glycinate has emerged as a promising supplement for migraine relief. This essential mineral helps regulate neurotransmitters and reduce inflammation, both of which are implicated in migraine development. By incorporating magnesium glycinate into your daily routine, you may experience relief from migraine symptoms by targeting the underlying inflammatory processes contributing to pain. Prioritizing Sleep and Rest Another crucial aspect of migraine management is prioritizing sleep and rest. Lack of sleep can act as a trigger for migraines or exacerbate their severity. It's essential to establish a consistent sleep schedule and ensure you're getting enough rest each night. Additionally, if a migraine strikes during the day, don't hesitate to take a quick break. Stepping away from your tasks and allowing yourself to rest can help alleviate migraine symptoms and prevent them from escalating. Start a Food Journal Migraine triggers can vary from person to person, and identifying specific trigger foods often involves keeping a detailed headache diary to track patterns. While certain foods are commonly reported as migraine triggers, it's important to note that triggers can be individualized. Here are some foods that are commonly associated with triggering migraines: 1 . Caffeine : While some people find relief from migraines with caffeine, for others, it can be a trigger. It's essential to monitor your caffeine intake and be consistent with your consumption. 2. Chocolate : Chocolate contains compounds like phenylethylamine and tyramine, which are thought to contribute to migraines in some individuals. 3. Alcohol: Certain alcoholic beverages, especially red wine, beer, and whiskey, may trigger migraines. Sulfites and other compounds in alcohol are potential culprits. 4 . Aged Cheese: Cheeses that are aged, such as cheddar, blue cheese, and Parmesan, contain tyramine, a compound that may trigger migraines in some people. 5. Processed Meats : Nitrites and nitrates in processed meats like bacon, hot dogs, and deli meats are potential migraine triggers for some individuals. 6. Monosodium Glutamate (MSG) : Found in some savory snacks, Chinese food, and processed foods, MSG is often associated with triggering migraines. 7 . Artificial Sweeteners : Aspartame, found in many diet sodas and sugar-free products, is a reported trigger for some people. 8. Citrus Fruits : Oranges, lemons, and other citrus fruits contain histamine, which may contribute to migraines in sensitive individuals. 9. Nuts: Certain nuts, especially peanuts and tree nuts, contain tyramine and other migraine-triggering compounds. 10 . Onions and Garlic : These vegetables contain sulfites and can be problematic for some migraine sufferers. 11. Avocado : Avocado contains tyramine and can be a trigger for some individuals. 12 . Pickled or Fermented Foods : Sauerkraut, pickles, and other fermented foods contain tyramine and may trigger migraines. It's crucial to keep in mind that individual responses to these foods vary, and not everyone will be sensitive to the same triggers. Keeping a headache diary, working with a healthcare professional, and gradually eliminating or reintroducing potential trigger foods can help identify specific dietary factors contributing to migraines. Additionally, maintaining a well-balanced diet and staying hydrated may contribute to overall headache prevention. Could It Be My Hormones? Hormones can also play a significant role in triggering migraines for some individuals. Changes in hormonal levels, particularly fluctuations in estrogen, are commonly associated with the onset of migraines, and certain periods in a person's life may be particularly prone to hormonal influences. Here are some key stages and factors related to migraines and hormones: 1. Menstrual Migraines : Many women experience migraines related to their menstrual cycle. These migraines often occur in the days leading up to menstruation or during the first few days of the menstrual period. The drop in estrogen levels that occurs during this time is thought to be a contributing factor. 2. Menopause : Hormonal changes during menopause, specifically the decline in estrogen levels, can also trigger migraines in some women. The transition to menopause may be associated with an increase in migraine frequency or intensity for some individuals. 3. Pregnancy : Hormonal changes during pregnancy can have varying effects on migraines. While some women experience relief from migraines during pregnancy, others may find that their migraines become more frequent. It is essential to consult with a healthcare professional for guidance on managing migraines during pregnancy. 4. Hormonal Contraceptives: Some women may experience changes in migraine patterns when using hormonal contraceptives. For some, it may lead to an improvement, while for others, it might worsen migraines. 5. Perimenopause : The period leading up to menopause, known as perimenopause, is characterized by hormonal fluctuations. Migraines may become more frequent or severe during this time for some individuals. Perimenopause can start as early as mid-30’s for some women and last over 10 years. It’s important to meet with a hormone specialist if you’re struggling with symptoms. If you suspect your hormones may be playing a role and are seeing a cyclical pattern to your migraines, I recommned getting your hormones checked. There are many natural solutions to balancing your hormones that don't involve birth control or other medications. Conclusion Managing migraines requires a multifaceted approach that addresses hydration, nutrition, sleep, stress management and hormone balance. By incorporating these strategies into your daily routine, you can take control of your migraines and improve your quality of life. If you're struggling to manage your migraines or would like a more personalized guidance on implementing these strategies, I’d be happy to help! Together, we can work towards finding effective solutions and helping you live a life free from the grip of migraines. I've had great success with my clients over the last 15 years, helping them to identify their triggers and givng them a tailored plan that was realistic to their lifestyle. Schedule a call with me today!
By Dariella Gonitzke, MS, RD. FMN 25 Oct, 2023
Food sensitivities can affect you in so many ways. And they’re a lot more common than most people think. I'm not talking about anaphylaxis or immediate allergic reactions that involve a strong immune response. Those can be serious and life-threatening. If you have any allergies, you need to steer clear of any traces of foods you are allergic to, and speak with your doctor or pharmacist about emergency medication, if necessary. What I'm talking about, is a sensitivity, meaning you do not tolerate a specific food very well and it causes immediate or chronic symptoms anywhere in the body. Symptoms can take hours or even days to show themselves. And symptoms can be located just about anywhere in the body. This is still an immune response that can increase inflammation (hence the aches and pains), but different than an allergy. This is what makes them so tricky to identify. Symptoms of Food Intolerances There are some common food intolerances and immune reactions that have immediate and terribly painful gastrointestinal symptoms, such as lactose intolerance or celiac disease. These can cause stomach pain, gas, bloating, and/or diarrhea; symptoms can start immediately after eating lactose or gluten. On the other hand, other more insidious symptoms may not be linked to foods in an obvious way. Symptoms like: ● Chronic muscle or joint pain ● Sweating, or increased heart rate or blood pressure ● Headaches or migraines ● Exhaustion after a good night's sleep ● Autoimmune conditions like Hashimoto's or rheumatoid arthritis ● Rashes or eczema ● Inability to concentrate or feeling like your brain is "foggy" ● Shortness of breath If your body has trouble digesting specific foods, it can affect your hormones, metabolism, or even cause inflammation and result in any of the symptoms listed above. And these can affect any (or all) parts of the body, not just your gastrointestinal system. How to Prevent These Symptoms The main thing you can do is to figure out which foods or ingredients you may be reacting to and stop ingesting them. I know, I know...this sounds so simple, and yet it can be SO HARD. The best way to identify your food/ingredient triggers is eliminate them. This can be done by trial and error, or by testing. The trail and error method requires you to eliminate all traces high reactive foods for three full weeks and monitor your symptoms. If things get better, then you want to slowly introduce them back one at a time, every 3 days, while still looking out to see if/when symptoms return. The second option is to test for food sensitivities using a reliable blood test called the Mediator Release Test (MRT). This test measures the inflammatory mediators released by your white blood cells in response to food exposure. It tests for 176 foods and chemicals such as dyes and additives. One huge benefit to testing, is knowing exactly which foods to cut out and for how long based on their level of reactivity. The dietitians here at Eat Freely Nutrition are knowledgeable in both methods and offer guidance and support. We can also order the MRT test for you and help you with personalized recipes and meal ideas based on your results. Start Here: Two common food intolerances Here are two of the most common triggers of food intolerances: ● Lactose - eliminate dairy altogether, or look for a "lactose-free" label – try dairy-free alternatives made from oat, nuts or coconut instead. ● Gluten - in wheat, rye, barley and other common grains - look for a "gluten-free" label - try gluten-free grains like rice, quinoa & gluten-free oats. This is by no means a complete list, but it's a good place to start because lactose intolerance is thought to affect up to 75% of people, while "non-celiac gluten sensitivity" can affect up to 13% of people. So, if you can eliminate all traces of lactose and gluten for three weeks, it can confirm whether either or both of these, are a source of your symptoms. Yes, dairy and grains are a part of many government-recommended food guidelines, but you absolutely can get all of the nutrients you need if you focus on replacing them with nutrient-dense foods. A reliable way to monitor how you feel after eating certain foods is to track it. After every meal or snack, write down the foods you ate, and any symptoms so you can more easily spot trends. And, as mentioned earlier, symptoms may not start immediately following a meal. You may find, for example, that you wake up with a headache the morning after eating bananas. You might be surprised what links you can find if you track your food and symptoms well! IMPORTANT NOTE: When you eliminate something, you need to make sure it's not hiding in other foods, or the whole point of eliminating it for a few weeks is lost. Restaurant food, packaged foods, and sauces or dressings are notorious for adding ingredients that you'd never think are there. You know that sugar hides in almost everything, but did you also know that wheat is often added to processed meats and soy sauce, and lactose can even be found in some medications or supplements? When in doubt you HAVE to ask the server in a restaurant about hidden ingredients, read labels, and consider cooking from scratch. What if it doesn’t work? If eliminating these two common food intolerances doesn’t work, then you can go one step further to eliminate soy and corn for three weeks. They are the next most common culprits. You may need to see a qualified healthcare practitioner for help, and that's OK. I don't want you to continue suffering if you don't need to! If you’d prefer to use the “test, not guess” method, give us a call and we can discuss the MRT in more detail. If you’ve had an MRT test in the past and it’s been more than a few years, it might be time to retest. Your food sensitivities can change over time.
By Dariella Gonitzke, MS, RD, FMN 29 Aug, 2023
Curious about finding your hormone type? Discover the main types of hormones always at work in your body and the symptoms of certain imbalances.
By Dariella Gonitzke, MS, RD, FMN 29 Aug, 2023
Let’s explore the symptoms of imbalanced cortisol and discover how to balance cortisol levels to help you navigate stress more effectively and restore hormone balance
By Dariella Gonitzke, MS, RD, FMN 28 Jul, 2023
Living with period cramps can be a real drag. Looking for some natural remedies to try? Discover 6 foods that help with period cramps.
By Dariella Gonitzke, MS, RD, FMN 28 Jul, 2023
Xenoestrogens are persistent, harmful compounds that we encounter as part of everyday life. Discover the risks they pose and how to reduce your exposure.
By Dariella Gonitzke, MS, RD, FMN 24 Jun, 2023
Hormonal weight gain is tricky and usually involves several factors. Discover how hormones and weight gain go together and how you can use your lifestyle to gain control.
By Dariella Gonitzke, MS, RD, FMN 24 Jun, 2023
Discover the four types of PCOS and gain valuable insights to help navigate the complexities of the condition and learn about treatment options for better management.
Estrogen dominance, PMS, women's health
By Dariella Gonitzke, MS, RD, FMN 20 May, 2023
Estrogen dominance is a condition in which your body has higher than normal levels of estrogen. Lifestyle changes can help your hormones regain balance.
More Posts
Share by: